ATI RN
ATI Mental Health Practice B 2023 Questions
Question 1 of 5
Which of the following clients does not have the ability to refuse medications or treatments? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: A client who has been deemed incompetent by the court. This client does not have the ability to refuse medications or treatments because they have been legally declared incompetent to make decisions regarding their own healthcare. This determination is made by the court based on the individual's mental capacity. In contrast, choices A and B pertain to clients who are under different forms of commitment, but maintain the right to refuse treatment unless there is an emergency or specific legal circumstance. Choice D, a client with antisocial personality disorder, still retains the right to refuse medications or treatments unless they are deemed a danger to themselves or others.
Question 2 of 5
A nurse is caring for a client who is preparing his advance directives. Which of the following statements by the client indicates an understanding of advanced directives?
Correct Answer: D
Rationale: The correct answer is D: I have the right to refuse treatment. This statement indicates an understanding of advance directives as it acknowledges the client's autonomy in making decisions about their healthcare, including the option to refuse treatment. This aligns with the purpose of advance directives, which is to allow individuals to express their healthcare preferences in advance. Explanation of incorrect choices: A: I can't change my instructions once a minute - This statement is incorrect because individuals have the right to update or change their advance directives at any time. B: My doctor will need to approve my advance directives - This is incorrect as advance directives are the patient's own preferences and do not require approval from the doctor. C: I need an attorney to witness my signature on the advance directives - While having a witness is recommended, it does not necessarily have to be an attorney. This choice implies a misunderstanding of the requirements for advance directives.
Question 3 of 5
Which statement by the nurse expresses respect for the client?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates respect for the client's confidentiality and privacy, which are essential in maintaining trust and therapeutic relationships. By assuring the client that discussions will remain within the healthcare team, the nurse upholds the client's autonomy and dignity. Option A lacks respect as it involves blaming and restricting the client. Option C shows empathy but implies judgment towards the client. Option D downplays the client's feelings and fails to acknowledge their individuality.
Question 4 of 5
The nurse is caring for a client who was diagnosed with schizoaffective disorder. Based on the nurse's understanding of this disorder, the nurse develops a plan of care to address which issue as the top priority?
Correct Answer: A
Rationale: The correct answer is A: Suicide. Schizoaffective disorder is associated with an increased risk of suicide. Addressing suicide prevention is the top priority to ensure the client's safety. Suicide risk assessment and intervention are crucial in managing this disorder. Aggression (B), substance abuse (C), and eating disorder (D) may also be present but addressing suicide takes precedence due to the high risk associated with this disorder.
Question 5 of 5
A hospitalized patient who has been taking an antipsychotic medication for 2 weeks begins pacing and walking throughout the unit. He tells the nurse that he 'cannot sit still.' The nurse documents this finding as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Akathisia. Akathisia is a common extrapyramidal side effect of antipsychotic medications characterized by an inner restlessness and an inability to sit still. In this scenario, the patient's symptoms of pacing and walking throughout the unit, along with feeling like he 'cannot sit still,' align with the definition of akathisia. A: Akinesia refers to a lack of movement and is not consistent with the patient's hyperactivity. B: Dystonia presents with sustained muscle contractions, causing abnormal postures or repetitive movements. C: Pseudoparkinsonism manifests as symptoms similar to Parkinson's disease, such as tremors and rigidity, which are not present in the patient's case.